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Individual

DR. AKAMIN VICTOR NKENGAKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LCSW, LMSW

Contact information

Practice address
5410 MARYLAND WAY, BRENTWOOD, TN 37027-5064
(855) 212-2273
Mailing address
2337 LAURELWOOD DR, BATON ROUGE, LA 70816-3045
(318) 294-8877

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCI12800718
CA
101YM0800X
Mental Health Counselor
10551
LA
101YP2500X
Professional Counselor
Q0000185
DE
1041C0700X
Clinical Social Worker
Primary
CSW03186
RI
171M00000X
Case Manager/Care Coordinator
G0088
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255705901
NATIONAL PROVIDER IDENTIFICATION
LA
Enumeration date
08/09/2018
Last updated
11/24/2023
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